Cargando…

Relationship between Lower Urinary Tract Symptoms and Treatment-Related Behavior in an Eastern European Country: Findings from the LUTS POLAND Study

Background: The aim of this study was to investigate the effect of lower urinary tract symptoms (LUTS) on behavior related to treatment of Polish adults aged ≥ 40 years. Methods: We conducted a computer-assisted telephone survey with a study sample stratified by age, sex, and place of residence (typ...

Descripción completa

Detalles Bibliográficos
Autores principales: Przydacz, Mikolaj, Dudek, Przemyslaw, Golabek, Tomasz, Chlosta, Piotr
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7831922/
https://www.ncbi.nlm.nih.gov/pubmed/33477665
http://dx.doi.org/10.3390/ijerph18020785
_version_ 1783641722411024384
author Przydacz, Mikolaj
Dudek, Przemyslaw
Golabek, Tomasz
Chlosta, Piotr
author_facet Przydacz, Mikolaj
Dudek, Przemyslaw
Golabek, Tomasz
Chlosta, Piotr
author_sort Przydacz, Mikolaj
collection PubMed
description Background: The aim of this study was to investigate the effect of lower urinary tract symptoms (LUTS) on behavior related to treatment of Polish adults aged ≥ 40 years. Methods: We conducted a computer-assisted telephone survey with a study sample stratified by age, sex, and place of residence (type, size, urban versus rural) reflecting the entire Polish population. Participants rated the frequency and symptom-specific bother of individual LUTS and their effects on seeking and receiving treatment, treatment satisfaction, and treatment continuation. We adjusted multiple logistic regression models to analyze the simultaneous effects of predictor variables on each dependent variable. Results: Overall, 6005 participants completed the interview. One third (29.6–33.5%) of participants with LUTS were seeking treatment, and 24.0–26.4% received treatment. There was no difference in treatment seeking and receiving between urban and rural areas. Whereas storage and voiding symptoms were significantly related to treatment seeking by both men and women, treatment receiving correlated only with voiding symptoms in men and only with storage symptoms in women. Most respondents who received treatment were satisfied; treatment dissatisfaction was related to the presence of storage symptoms in both men and women. Only 50% of all participants continued their treatment; discontinuation of treatment was statistically more prevalent for women than for men. Conclusion: This investigation, the first population-representative study performed in Eastern Europe, revealed a low frequency of seeking treatment for LUTS. In addition, symptoms that inclined participants to seek treatment might not have been adequately addressed by the treatment they received. We also found a relatively high rate of treatment discontinuation. Clearly, there is a need for both improved patient education about LUTS treatment and a need for increased clinician awareness of the coexistence of different symptoms in men and women plus proactive evaluation by physicians for all types of LUTS and associated bother.
format Online
Article
Text
id pubmed-7831922
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-78319222021-01-26 Relationship between Lower Urinary Tract Symptoms and Treatment-Related Behavior in an Eastern European Country: Findings from the LUTS POLAND Study Przydacz, Mikolaj Dudek, Przemyslaw Golabek, Tomasz Chlosta, Piotr Int J Environ Res Public Health Article Background: The aim of this study was to investigate the effect of lower urinary tract symptoms (LUTS) on behavior related to treatment of Polish adults aged ≥ 40 years. Methods: We conducted a computer-assisted telephone survey with a study sample stratified by age, sex, and place of residence (type, size, urban versus rural) reflecting the entire Polish population. Participants rated the frequency and symptom-specific bother of individual LUTS and their effects on seeking and receiving treatment, treatment satisfaction, and treatment continuation. We adjusted multiple logistic regression models to analyze the simultaneous effects of predictor variables on each dependent variable. Results: Overall, 6005 participants completed the interview. One third (29.6–33.5%) of participants with LUTS were seeking treatment, and 24.0–26.4% received treatment. There was no difference in treatment seeking and receiving between urban and rural areas. Whereas storage and voiding symptoms were significantly related to treatment seeking by both men and women, treatment receiving correlated only with voiding symptoms in men and only with storage symptoms in women. Most respondents who received treatment were satisfied; treatment dissatisfaction was related to the presence of storage symptoms in both men and women. Only 50% of all participants continued their treatment; discontinuation of treatment was statistically more prevalent for women than for men. Conclusion: This investigation, the first population-representative study performed in Eastern Europe, revealed a low frequency of seeking treatment for LUTS. In addition, symptoms that inclined participants to seek treatment might not have been adequately addressed by the treatment they received. We also found a relatively high rate of treatment discontinuation. Clearly, there is a need for both improved patient education about LUTS treatment and a need for increased clinician awareness of the coexistence of different symptoms in men and women plus proactive evaluation by physicians for all types of LUTS and associated bother. MDPI 2021-01-18 2021-01 /pmc/articles/PMC7831922/ /pubmed/33477665 http://dx.doi.org/10.3390/ijerph18020785 Text en © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Przydacz, Mikolaj
Dudek, Przemyslaw
Golabek, Tomasz
Chlosta, Piotr
Relationship between Lower Urinary Tract Symptoms and Treatment-Related Behavior in an Eastern European Country: Findings from the LUTS POLAND Study
title Relationship between Lower Urinary Tract Symptoms and Treatment-Related Behavior in an Eastern European Country: Findings from the LUTS POLAND Study
title_full Relationship between Lower Urinary Tract Symptoms and Treatment-Related Behavior in an Eastern European Country: Findings from the LUTS POLAND Study
title_fullStr Relationship between Lower Urinary Tract Symptoms and Treatment-Related Behavior in an Eastern European Country: Findings from the LUTS POLAND Study
title_full_unstemmed Relationship between Lower Urinary Tract Symptoms and Treatment-Related Behavior in an Eastern European Country: Findings from the LUTS POLAND Study
title_short Relationship between Lower Urinary Tract Symptoms and Treatment-Related Behavior in an Eastern European Country: Findings from the LUTS POLAND Study
title_sort relationship between lower urinary tract symptoms and treatment-related behavior in an eastern european country: findings from the luts poland study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7831922/
https://www.ncbi.nlm.nih.gov/pubmed/33477665
http://dx.doi.org/10.3390/ijerph18020785
work_keys_str_mv AT przydaczmikolaj relationshipbetweenlowerurinarytractsymptomsandtreatmentrelatedbehaviorinaneasterneuropeancountryfindingsfromthelutspolandstudy
AT dudekprzemyslaw relationshipbetweenlowerurinarytractsymptomsandtreatmentrelatedbehaviorinaneasterneuropeancountryfindingsfromthelutspolandstudy
AT golabektomasz relationshipbetweenlowerurinarytractsymptomsandtreatmentrelatedbehaviorinaneasterneuropeancountryfindingsfromthelutspolandstudy
AT chlostapiotr relationshipbetweenlowerurinarytractsymptomsandtreatmentrelatedbehaviorinaneasterneuropeancountryfindingsfromthelutspolandstudy